Senior Medical Coder

The Senior Medical Coder performs concurrent review of FFS coding rules, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. This position supports coding functions within charge review, claim edits, and denials and plays a critical role in maintaining coding accuracy and supporting revenue cycle integrity. Schedule: Monday to Friday, 8 AM - 5 PM Location: Remote - Nationwide You will enjoy the flexibility to telecommute from anywhere within the U.S. while taking on challenging assignments. Primary Responsibilities Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural, evaluation and management, ancillary services) to assign appropriate medical codes Apply understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable medical codes Identify unclear or incomplete documentation and generate queries to obtain additional information Follow up with providers as necessary when responses to queries are not provided in a timely basis Utilize medical coding software programs or reference materials to identify appropriate codes Apply post-query response to make final determinations Apply relevant Medical Coding Reference, Federal, State, and Professional guidelines to assign and record independent medical code determinations Manage multiple work demands simultaneously to meet productivity and turnaround time standards for completing medical records (e.g., charts, assessments, visits, encounters) Resolve medical coding edits or denials in relation to code assignment Provide information or respond to questions from medical coding quality audits Educate and mentor others to improve medical coding quality Demonstrate basic knowledge of the impact of coding decisions on the revenue cycle Other duties as assigned You will be rewarded and recognized for your performance in an environment that challenges you and provides clear direction on what it takes to succeed in your role, while also offering development opportunities. Required Qualifications High School Diploma/GED Coding certification from AAPC or AHIMA (CPC, CPC‑H, CPC‑P, RHIT, RHIA, CCA, CCS, CCS‑P, etc.) At least 3 years of coding experience across multiple specialties Minimum 1 year of family practice experience Minimum 1 year of revenue cycle experience Advanced knowledge of ICD‑10‑CM, CPT, modifiers & HCPCS coding classification and guidelines Advanced knowledge of medical terminology, disease processes, anatomy, and physiology Preferred Qualifications Epic experience All Telecommuters must adhere to UnitedHealth Group’s Telecommuter Policy. Pay is based on several factors and ranges from $23.89 to $42.69 per hour for full‑time employment. In addition to salary, the role includes a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution (subject to eligibility). Pursuant to the San Francisco Fair Chance Ordinance, qualified applicants with arrest and conviction records will be considered for employment. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status—or any other characteristic protected by local, state, or federal laws. UnitedHealth Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment. #J-18808-Ljbffr